Hiatal Hernia Repair with Mesh and Toupet Fundoplication
Matthew E Sharbaugh, DO1, Kristin Mccoy, MD2, Tejinder P Singh, MD1. 1Albany Medical Center, 2Stamford HealthOptimal hiatal hernia repair technique has yet to be standardized. There is still no consensus on the multiple technical aspects of the procedure including: mesh fixation, division of short gastric vessels, size of wrap, use of gastropexy and many more.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic partial splenectomy with evisceration resection strategy
Mark L Kovler, MD1, Seth D Goldstein, MD, MPhil2, Daniel S Rhee, MD, MPH3. 1Johns Hopkins Hospital, 2Lurie Children's Hospital, 3Johns Hopkins Children's CenterIntroduction: Partial splenectomy has emerged as a surgical option for children with benign splenic tumors. The goal of complete resection while preserving splenic function is logical. However, laparoscopic partial splenectomy remains technically… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC MEDIAN ARCUATE LIGAMENT RELEASE
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Dattaguru R Kulkarni, MS, Mch, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shekhar Jadhav, MS, FMAS, Soumya Chatnalkar, MBBS, Priyanka Saha, MBBS, Kushboo Kadakia, MBBS, Shivang Shukla, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaMedian arcuate ligament syndrome (MALS)… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Heller Myotomy for Recurrent Aspiration Pneumonia Following Gastric Bypass
Courtney L Devin, MD, Andrew M Brown, MD, Michael J Pucci, MD, Francesco Palazzo, MD. Thomas Jefferson UniversityThe video shows the steps undertaken for a laparoscopic Heller myotomy for recurrent aspiration pneumonia following gastric bypass. While the incidence of achalasia and other esophageal motility disorders in the bariatric population are unknown, it should be treated when… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Resection of Gastric Duplication Cyst
Richard Thompson, MD, Meredith Duke, MD, MBA. UNCA 26 year-old female presented with months of right upper quadrant pain. Diagnostic imaging showed a small fluid collection adjacent to the gastric antrum, initially suspected to be an abscess. A percutaneous drain was placed with what was described as bilious aspirate. Endoscopic ultrasound with fine needle aspiration… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Esophageal Diverticulectomy with Heller Myotomy and Toupet Fundoplication
Benedict Hui, MD, Geoffrey Chow, MD. University of Oklahoma - TulsaWe are presenting a laparoscopic esophageal diverticulectomy with Heller myotomy and Toupet fundoplication. The patient is a 51 year old male with 10 year history of achalasia previously treated with endoscopic dilation. He presented with worsening dysphagia, chest pain, and regurgitation of undigested food. We… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic D2 radical distal gastrectomy with complete mesogastrium excision for advanced gastric cancer
Wei Wang, Wenjun Xiong, Jin Wan, Xiaofeng Zhu. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic distal gastrectomy for advanced gastric cancer is widely perform in East Asia. Herein, we introduce the technique of laparoscopic D2 radical distal gastrectomy with complete mesogastrium excision. First step was dissecting the gastrocolic omentum from left to right. The superior border… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
ROBOTIC ASSISTED MORGAGNI HERNIA REPAIR
Yalini Vigneswaran, Victoria Lyo, Stephanie Wood. OHSUHere we present a case of a robotic assisted morgagni hernia repair with mesh. This is a 69 year old woman who presented with atypical symptoms of abdominal pain and dysphagia. Her work up included a normal endoscopy and esophagram. However due to her history of recurrent bronchitis further… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparascopic trans-gastric resection of submucosal mass
Jason E Kuhn, DO, Robert Cunningham, MD, Jon Gabrielsen, MD, Anthony Petrick, MD, David Parker, MD. Geisinger Medical CenterGeisinger Medical Center is presenting a video submission for a pre-pyloric submucosal mass unamenable to wedge resection without compromising the pylorus. Resection was performed in a laparscopic trans-gastric manner with endoscopic assistance for retrieval. The defect was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Hiatal Hernia Repair Following Ivor-Lewis Esophagectomy
Jarvis Walters, DO1, Jeremy Holzmacher, MD1, Fred Brody, MD, FACS2. 1George Washington University Medical Center, 2Veterans Affairs Medical CenterDuring esophagectomy, the diaphragmatic hiatus is often widened to prevent an obstructed conduit, increasing the potential risk of hiatal hernia. This video depicts laparoscopic repair of a patient who presented with a Type IV hiatal hernia containing… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Release of Median Arcuate Ligament
James Parker, MD1, Eric Forney, MD1, Alex Sapp, MD1, Danny Vaughn, MD1, Eric Long, MD1, Gunnar Nelson2. 1Navicent Health Medical Center, 2Virginia TechMedian arcuate ligament syndrome (AKA celiac artery compression syndrome) is a disorder that remains near the bottom of most differential diagnoses. There is still much to learn about the pathophysiology of this disorder,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of parahiatal hernia with falciform ligament flap and left triangular ligament flap hiatoplasty
Adam S Weltz, MD, Nolan Marks, Javaneh Jabbari, MHS, Alex Addo, MD, Zachary Sanford, MD, Adrian Park, MD, FACS. Anne Arundel Medical CenterSummary of Surgical Case: We discuss a 67 year-old male presenting with presumed large paraesophageal hernia. CT demonstrated presumed Type IV paraesophageal hernia with acute gastric volvulus. He was medically optimized and taken… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic removal of gastric stimulator and sleeve gastrectomy in a patient with gastroparesis
Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University Health Sciences CenterCase Background A 44 year-old female with morbid obesity (BMI of 41 kg/m2 ) with multiple comorbidities including gastroparesis and history of gastric stimulator insertion. She underwent multiple unsuccessful trials of medical weight loss. After all the preoperative work up she… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Recurrent Hiatal Hernia with Dysphagia s/p Heller Myotomy with Dor Fundoplication
Robert Polak, MD, Theophilus Pham, BA, MBA, Adel Alhaj Saleh, MD, MRCS, Amir H Aryaie, MD, FACS. Texas Tech University, Health Sciences Center 48 y.o. female presented as a referral for possible achalasia s/p Heller Myotomy and DorFundoplication in 2001. Initially helped for 3 years Has since undergone 10+ endoscopic esophageal dilations Symptoms: difficulty eating/swallowing,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of Paraesophageal Hernia
Alyssa Bellini, BS, Federico Serrot, MD, Maria Fonseca Mora, Cristian Milla Matute, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaLaparoscopic repair of an incarcerated Paraesophageal hernia Acute incarceration of hiatal hernias is rare. Laparoscopic paraesophageal hernia repair (LPEHR) is a feasible surgical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut